This visualization explores the idea of regional surveillance for maternal and infant health, which is a priority area for the region and subject of the 2019 Institute for Public Health Annual Conference. Assessment & surveillance are two core public health activities; assessments identify health priorities & surveillance systems track progress toward addressing those prioritized needs. Surveillance needs to be real-time to be effective, and it needs to be shared with people and organizations for planning and evaluation. The Data Center has partnered with the Departments of Health, BJC and the Regional Data Alliance to explore the idea of real-time, regional public health surveillance using clinical and social determinants of health data sources.
Sexual Healthcare In St. Louis: Barriers and Opportunities
The data center staff and students support the research of Dr. Hilary Reno assistant professor in the Division of Infectious Diseases, School of Medicine to describe patterns of utilization and treatment for patients who seek sexual healthcare in local emergency departments.
Bergquist EP, Trolard A, Fox B, Sebert Kuhlmann A, Loux T, Liang SY, Stoner BP, Reno H. Presenting to the Emergency Department Versus Clinic-Based Sexually Transmitted Disease Care Locations for Testing for Chlamydia and Gonorrhea: A Spatial Exploration. Sexually Transmitted Disease 2019 Jul;46(7):474-479. doi: 10.1097/OLQ.0000000000001007. PMID: 31192889
Dretler AW, Trolard A, Bergquist EP, Cooper B, Liang SY, Stoner BP, Reno H. The influence of race and sex on gonorrhea and chlamydia treatment in the emergency department. American Journal of Emergency Medicine 2019 May 30. pii: S0735-6757(19)30366-3. doi: 10.1016/j.ajem.2019.05.054. [Epub ahead of print]
St. Louis Hospital-based Violence Intervention Program (STL-HVIP) and Life Outside of Violence (LOV)
The Center is responsible for maintaining two databases related to violence prevention: 1) STL-HVIP, a repository of clinical information on all hospital visits made for violent injuries from all four level-one trauma centers in the region; and 2) LOV, a program facilitated by case workers designed to prevent recidivism for violent injuries at the four participating hospitals. Oversight of these data is provided by a committee of the STL-HVIP body, and are available to researchers and LOV program evaluators by way of an application process.
Public Health Dashboard: Sexually Transmitted Infections
The St. Louis region has high rates of STDs including gonorrhea and chlamydia, and the availability of affordable testing and treatment in the City of St. Louis for these infections has decreased over the past decade. The Center maintains a repository of clinical data on sexually transmitted infection-related visits made to local emergency departments. We are also working with stakeholders to develop dashboards that 1) aid providers in their treatment of patients with these infections; and 2) help people seeking care find community resources for testing and treatment.